Table 5.
Section | Item | |
---|---|---|
I. General items | Sex | Male/female |
Age | Years | |
Retired | Yes/no | |
II. Disease specific items | Liver tumor | Primary |
Comorbidities | Secondary | |
III. Therapy related items | Medical consultant | |
Current therapy | ||
Regular medical follow-up | Yes/no | |
Redo SRFA | Yes/no | |
Fear of repeat SRFA | Yes/no | |
Physical state after SRFA | Better/worse/equal | |
IV. Symptoms after SRFA | Pain | Scale, duration |
Fever | Yes/no, duration | |
Poor wound healing | Yes/no | |
Digestive disturbances | Yes/no, duration | |
Reflux | Yes/no, duration | |
Night sweats | Yes/no, duration | |
Nausea/vomiting | Yes/no, duration | |
Lack of appetite | Yes/no, duration | |
Weakness | Yes/no, duration | |
V. Other treatments (not SRFA) with comparison | Treatment | TACE, CTX, HR |
Direct comparison of treatments | Side-effects | |
Physical stress | ||
Impairment | ||
Preference | ||
VI. Suggestions for Improvement | – | – |
VII. SF-12 | Physical health related | General health (GH) |
Physical functioning (PF) | ||
Role physical (RP) | ||
Body pain (BP) | ||
Mental health related |
Vitality (VT) Social functioning (SF) Role emotional (RE) Mental health (MH) |